Accountant 1 - Medical Billing Specialist

State of Oregon • Salem, OR

6d • Hybrid

About The Position

OREGON YOUTH AUTHORITY Accountant 1 - Medical Billing Specialist Salem, OR – Equitable Center The Oregon Youth Authority is seeking an Accountant 1 – Medical Billing Specialist to provide essential financial and accounting support that ensures the accuracy, integrity, and timeliness of agency transactions and reporting. In this role, you will collaborate with staff across the organization to perform complex accounting functions, apply established methods and controls, and support informed decision-making through reliable financial data. A primary focus of this position is managing Medicaid billing processes, including targeted case management (TCM), Behavioral Rehabilitation Services (BRS), and reimbursements through the Medicaid Management Information System (MMIS). Responsibilities include reviewing and verifying medical billing codes and reimbursement rates for provider payments; tracking and maintaining documentation supporting reimbursement claims to ensure accuracy, completeness, and audit compliance; and reviewing and analyzing remittance advice from the Oregon Health Authority (OHA) to verify paid and denied claims, identify discrepancies, and ensure compliance with Medicaid requirements. As a subject matter expert in medical payment claims, you will provide guidance on billing practices, resolve discrepancies, and ensure sensitive financial and medical information is handled in accordance with OYA policy, HIPAA, and other applicable standards. This role plays a critical part in supporting expenditure recovery, fiscal accountability, and compliance while contributing to a collaborative, inclusive, and mission-driven work environment.

Requirements

• Possession of a Certified Public Accountant or Certified Government Financial Manager certificate; OR A bachelor’s degree in accounting; OR Successful completion of the State of Oregon Accounting Career Mobility Program or equivalent accounting certificate program from an accredited college or university; OR 32 quarter (21 semester) credit hours in Accounting from an accredited institution AND two years of technical, para- professional accounting experience to include: a) classifying, analyzing, and reconciling financial data and records; b) designing, recommending, and installing modifications of accounting methods, procedures, forms, and records; c) preparing financial statements and reports; d) analyzing and interpreting laws, regulations, codes, and ordinances to ensure the legality of financial transactions; and e) analyzing, interpreting, and making recommendations related to accounting transactions, accounts and account relationships resulting in accounting entries.
• Ability to work with diverse groups of internal clients.
• Excellent attention to detail and number typing accuracy.
• Proficiency in Excel and other relevant software (e.g., ORMB, Epic Tapestry Membership, SharePoint).
• Knowledge of ICD-9/ICD-10, HCPCS, CPT coding conventions.
• Ability to work to tight deadlines in a fast-paced environment.
• Ability to maintain professionalism, confidentiality, and objectivity under pressure.
• Knowledge of medical terminology and regulations on the confidentiality of medical records (HIPAA).
• Possess an understanding of basic principles of governmental accounting and financial reporting.
• Ability to apply accounting theory to solve or evaluate solutions to problems and to document and communicate the application of theory.
• Must remain current with the capabilities of various software applications as well as other aspects of the profession by attending training/education sessions.

Nice To Haves

• Experience with HIPAA requirements for information handling
• Experience with medical billing, including reviewing HCFA forms and ICD-10 coding
• Demonstrated experience with Medicaid billing requirements, specifically related to Title XIX program
• Demonstrated experience with financial reconciliations
• Demonstrated problem-solving skills, critical thinking skills, and oral and written communication skills
• Positive, professional, and reliable

Responsibilities

• Review and verify medical billing codes and reimbursement rates for payments to providers
• Track and maintain records supporting reimbursement claims, ensuring accuracy, completeness, and compliance with audit requirements.
• Review and analyze remittance advice from the Oregon Health Authority (OHA) to verify accuracy of paid and denied claims, identify discrepancies, and ensure compliance with Medicaid billing and reimbursement requirements.

Benefits

• OYA values our employees. We believe that your time outside of the workplace is as valuable as it is inside the workplace. We offer a great work/life balance with flexible work schedules on most positions and a competitive benefits package, including low-cost, high-coverage health insurance, generous time-off, and a competitive retirement plan.
• $2,500 life insurance policy paid for by your union, SEIU Local 503. This policy is in effect if you are an active member.
• Up to $200,000 of additional life insurance can be purchased.
• Up to $100,000 member life, $40,000 spouse and $10,000 child is guaranteed within the first 90 days of new union membership.
• Short Term Disability insurance is guaranteed if purchased within the first 90 days of new union membership.
• Legal insurance enrollment is available to purchase within the first 90 days of new union membership.
• Tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level